Jessica T Peroni, PA
Physician Assistant in Dorchester, Massachusetts
1114090859- Practice location
- 415 Columbia RD, Dorchester, MA 02125-2424
- Phone
- 617-287-8000
- Fax
- —
- Last updated
- July 8, 2007
Jessica Tina Peroni is a Physician Assistant based in Dorchester, MA. Jessica Tina Peroni practices in Dorchester, MA and has the professional credentials of PA. The NPI Number for Jessica Tina Peroni is 1114090859 and holds a License No. 1504 (MA). The current practice location address for Jessica Tina Peroni is 415 Columbia RD, Dorchester, MA 02125-2424 and can be reached out via phone at 617-287-8000.
Provider Profile Details
- NPI Number
- 1114090859
- Provider Name
- Jessica Tina Peroni
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 415 Columbia RD, Dorchester, MA 02125-2424
- Phone Number
- 617-287-8000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 17, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 Columbia RD
Dorchester, MA 02125-2424 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02125-2424
- Phone Number
- 617-287-8000
Provider Business Mailing Address Details
- Address
- 415 Columbia RD
Dorchester, MA 02125-2424 - City
- Dorchester
- State
- MA
- Zip
- 02125-2424
- Phone Number
- 617-287-8000
License Information
- License Number
- 1504
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica T Peroni, PA?
The NPI number of Jessica T Peroni, PA is 1114090859. It was assigned on November 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Jessica T Peroni, PA?
Jessica T Peroni, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1504.
Where does Jessica T Peroni, PA practice?
The practice location is 415 Columbia RD, Dorchester, MA 02125-2424. The office can be reached at 617-287-8000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114090859 directly on the NPPES registry website.